Penn Linda, Dombrowski Stephan U, Sniehotta Falko F, White Martin
Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK Fuse, UKCRC Centre for Translational Research in Public Health.
Division of Psychology, School of Natural Sciences, University of Stirling, Stirling, UK.
BMJ Open. 2014 Jul 8;4(7):e004530. doi: 10.1136/bmjopen-2013-004530.
Type 2 diabetes (T2D) is a debilitating disease, highly prevalent in UK South Asians, and preventable by lifestyle intervention. The 'New life, New you' (NLNY) physical activity (PA) and dietary intervention for T2D prevention was culturally adapted to better engage minority ethnic populations and tested for feasibility.
To investigate Pakistani female participants' perspectives of their behaviour change and of salient intervention features.
A community-based 8-week programme of group delivered PA sessions with behavioural counselling and dietary advice, culturally adapted for ethnic minority populations, in an area of socioeconomic deprivation. Participants to NLNY were recruited through screening events in community venues across the town.
Interviews were conducted with 20 Pakistani female NLNY participants, aged 26-45 (mean 33.5) years, from different parts of town.
Within the a priori Theoretical Domains Framework (intentions and goals, reinforcement, knowledge, nature of the activity, social role and identity, social influences, capabilities and skills, regulation and decision, emotion and environment), we identified the importance of social factors relating to participants' own PA and dietary behaviour change. We also identified cross-cutting themes as collateral benefits of the intervention including participants' 'psychological health'; 'responsibility' (for others' health, especially family members included in the new PA and diet regimes) and 'inclusion' (an ethos of accommodating differences).
Our findings suggest that culturally adapted interventions for Pakistani women at risk of T2D, delivered via group PA sessions with counselling and dietary advice, may encourage their PA and dietary behaviour change, and have collateral health and social benefits. The NLNY intervention appeared to be acceptable. We plan to evaluate recruitment, retention and likely effect of the intervention on participant behaviour prior to definitive evaluation.
2型糖尿病（T2D）是一种使人衰弱的疾病，在英国南亚裔中高度流行，可通过生活方式干预预防。“新生活，新自我”（NLNY）针对T2D预防的体育活动（PA）和饮食干预进行了文化调适，以更好地吸引少数族裔人群，并对其可行性进行了测试。
调查巴基斯坦女性参与者对其行为改变及显著干预特征的看法。
在一个社会经济贫困地区开展了一项为期8周的基于社区的项目，通过小组形式提供PA课程，并提供行为咨询和饮食建议，该项目针对少数族裔人群进行了文化调适。NLNY的参与者是通过在全镇社区场所举办的筛查活动招募的。
对20名年龄在26 - 45岁（平均33.5岁）、来自城镇不同地区的巴基斯坦女性NLNY参与者进行了访谈。
在先验的理论领域框架（意图与目标、强化、知识、活动性质、社会角色与身份、社会影响、能力与技能、调节与决策、情感与环境）内，我们确定了与参与者自身PA和饮食行为改变相关的社会因素的重要性。我们还确定了贯穿各领域的主题，作为干预的附带益处，包括参与者的“心理健康”；“责任”（对他人健康的责任，特别是新PA和饮食方案中涉及的家庭成员）和“包容”（容纳差异的理念）。
我们的研究结果表明，通过带有咨询和饮食建议的小组PA课程对有T2D风险的巴基斯坦女性进行文化调适的干预措施，可能会鼓励她们改变PA和饮食行为，并带来附带的健康和社会效益。NLNY干预似乎是可接受的。我们计划在进行最终评估之前，评估干预措施在招募、留存方面的情况以及对参与者行为可能产生的影响。
